Human T‐cell lymphotropic virus type 1 infective dermatitis emerging in adulthood
Identifieur interne : 002568 ( Istex/Corpus ); précédent : 002567; suivant : 002569Human T‐cell lymphotropic virus type 1 infective dermatitis emerging in adulthood
Auteurs : Luciana Maragno ; Jorge Casseb ; Ligia Maria I. Fukumori ; Mirian Nacagami Sotto ; Alberto José Da Silva Duarte ; Cyro Festa-Neto ; José Antônio SanchesSource :
- International Journal of Dermatology [ 0011-9059 ] ; 2009-07.
English descriptors
- KwdEn :
- Adult leukemia, Adulthood, Adulthood maragno, Adulthood report figure, Anterior nares, Antimicrobial, Associate professor, Asymptomatic, Asymptomatic carriers, Asymptomatic phase, Atll, Atopic dermatitis, Cell lymphotropic virus type, Clin, Clin pathol, Clinical aspects, Clinical fellow, Clone dako, Corticosteroid, Crusted, Crusted lesions, Cutaneous, Cutaneous lymphocyte antigen, Cutaneous lymphoma, Dermatitis, Dermatologic, Dermatologic alterations, Dermatologic examination, Dermatologic lesions, Dermatology, Dermatology maragno, Dermatology outpatient clinic, Erythematous, Generalized hyperreflexia, Histopathologic, Histopathologic study, Human lymphotropic virus type, Human virus type, Ichthyosis, Ichthyosis erythematous, Infective, Infective dermatitis, International journal, International society, Intravenous drug, Jamaican children, Laboratory features, Lesion, Lower limbs, Lymphocyte, Lymphocyte proliferation, Lymphocyte subsets, Lymphocytic epidermotropism, Lymphoid cells, Lymphotropic, Major criteria, Maragno, Median, Nasal discharge, Natural killer, Neurologic, Neurologic examination, Oliveira, Oliveira mfsp, Original magnification, Patients case, Peripheral blood, Perivascular dermatitis, Polymerase chain reaction, Proviral, Proviral load, Reference value, Report infective dermatitis, Scaly, Seborrheic dermatitis, Serologic assays, Skin cultures, Spastic paraparesis, Staphylococcus aureus, World literature.
- Teeft :
- Adult leukemia, Adulthood, Adulthood maragno, Adulthood report figure, Anterior nares, Antimicrobial, Associate professor, Asymptomatic, Asymptomatic carriers, Asymptomatic phase, Atll, Atopic dermatitis, Cell lymphotropic virus type, Clin, Clin pathol, Clinical aspects, Clinical fellow, Clone dako, Corticosteroid, Crusted, Crusted lesions, Cutaneous, Cutaneous lymphocyte antigen, Cutaneous lymphoma, Dermatitis, Dermatologic, Dermatologic alterations, Dermatologic examination, Dermatologic lesions, Dermatology, Dermatology maragno, Dermatology outpatient clinic, Erythematous, Generalized hyperreflexia, Histopathologic, Histopathologic study, Human lymphotropic virus type, Human virus type, Ichthyosis, Ichthyosis erythematous, Infective, Infective dermatitis, International journal, International society, Intravenous drug, Jamaican children, Laboratory features, Lesion, Lower limbs, Lymphocyte, Lymphocyte proliferation, Lymphocyte subsets, Lymphocytic epidermotropism, Lymphoid cells, Lymphotropic, Major criteria, Maragno, Median, Nasal discharge, Natural killer, Neurologic, Neurologic examination, Oliveira, Oliveira mfsp, Original magnification, Patients case, Peripheral blood, Perivascular dermatitis, Polymerase chain reaction, Proviral, Proviral load, Reference value, Report infective dermatitis, Scaly, Seborrheic dermatitis, Serologic assays, Skin cultures, Spastic paraparesis, Staphylococcus aureus, World literature.
Abstract
Background Infective dermatitis (ID) is a rare dermatologic condition of childhood that has been linked to human T‐cell lymphotropic virus type 1 (HTLV‐1).
Url:
DOI: 10.1111/j.1365-4632.2009.04008.x
Links to Exploration step
ISTEX:73CAD3010C2FF78F0B248190024F981CE8E12D66Le document en format XML
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dako</term><term>Corticosteroid</term><term>Crusted</term><term>Crusted lesions</term><term>Cutaneous</term><term>Cutaneous lymphocyte antigen</term><term>Cutaneous lymphoma</term><term>Dermatitis</term><term>Dermatologic</term><term>Dermatologic alterations</term><term>Dermatologic examination</term><term>Dermatologic lesions</term><term>Dermatology</term><term>Dermatology maragno</term><term>Dermatology outpatient clinic</term><term>Erythematous</term><term>Generalized hyperreflexia</term><term>Histopathologic</term><term>Histopathologic study</term><term>Human lymphotropic virus type</term><term>Human virus type</term><term>Ichthyosis</term><term>Ichthyosis erythematous</term><term>Infective</term><term>Infective dermatitis</term><term>International journal</term><term>International society</term><term>Intravenous drug</term><term>Jamaican children</term><term>Laboratory features</term><term>Lesion</term><term>Lower limbs</term><term>Lymphocyte</term><term>Lymphocyte 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type</term><term>Human virus type</term><term>Ichthyosis</term><term>Ichthyosis erythematous</term><term>Infective</term><term>Infective dermatitis</term><term>International journal</term><term>International society</term><term>Intravenous drug</term><term>Jamaican children</term><term>Laboratory features</term><term>Lesion</term><term>Lower limbs</term><term>Lymphocyte</term><term>Lymphocyte proliferation</term><term>Lymphocyte subsets</term><term>Lymphocytic epidermotropism</term><term>Lymphoid cells</term><term>Lymphotropic</term><term>Major criteria</term><term>Maragno</term><term>Median</term><term>Nasal discharge</term><term>Natural killer</term><term>Neurologic</term><term>Neurologic examination</term><term>Oliveira</term><term>Oliveira mfsp</term><term>Original magnification</term><term>Patients case</term><term>Peripheral blood</term><term>Perivascular dermatitis</term><term>Polymerase chain reaction</term><term>Proviral</term><term>Proviral load</term><term>Reference value</term><term>Report infective dermatitis</term><term>Scaly</term><term>Seborrheic dermatitis</term><term>Serologic assays</term><term>Skin cultures</term><term>Spastic paraparesis</term><term>Staphylococcus aureus</term><term>World literature</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract">Background Infective dermatitis (ID) is a rare dermatologic condition of childhood that has been linked to human T‐cell lymphotropic virus type 1 (HTLV‐1).</div></front></TEI><istex><corpusName>wiley</corpusName><keywords><teeft><json:string>dermatitis</json:string><json:string>lymphocyte</json:string><json:string>infective</json:string><json:string>dermatology</json:string><json:string>lymphotropic</json:string><json:string>proviral</json:string><json:string>infective dermatitis</json:string><json:string>dermatologic</json:string><json:string>maragno</json:string><json:string>human lymphotropic virus 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study</json:string><json:string>lymphocytic epidermotropism</json:string><json:string>associate professor</json:string><json:string>dermatologic lesions</json:string><json:string>dermatology maragno</json:string><json:string>dermatologic examination</json:string><json:string>adulthood</json:string><json:string>adult leukemia</json:string><json:string>nasal discharge</json:string><json:string>anterior nares</json:string><json:string>staphylococcus aureus</json:string><json:string>clinical aspects</json:string><json:string>atopic dermatitis</json:string><json:string>dermatology outpatient clinic</json:string><json:string>skin cultures</json:string><json:string>laboratory features</json:string><json:string>lymphocyte proliferation</json:string><json:string>serologic assays</json:string><json:string>major criteria</json:string><json:string>clone dako</json:string><json:string>polymerase chain reaction</json:string><json:string>natural killer</json:string><json:string>asymptomatic 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paraparesis</json:string><json:string>cutaneous lymphocyte antigen</json:string></teeft></keywords><author><json:item><name>Luciana Maragno Clinical fellow</name><affiliations><json:string>From the Department of Dermatology, “Hospital das Clínicas,” University of São Paulo Medical School, São Paulo, Brazil</json:string></affiliations></json:item><json:item><name>Jorge Casseb Assistant professor</name><affiliations><json:string>From the Department of Dermatology, “Hospital das Clínicas,” University of São Paulo Medical School, São Paulo, Brazil</json:string></affiliations></json:item><json:item><name>Ligia Maria I. Fukumori Biology technician</name><affiliations><json:string>From the Department of Dermatology, “Hospital das Clínicas,” University of São Paulo Medical School, São Paulo, Brazil</json:string></affiliations></json:item><json:item><name>Mirian Nacagami Sotto Associate professor</name><affiliations><json:string>From the Department of Dermatology, “Hospital das Clínicas,” University of São Paulo Medical School, São Paulo, Brazil</json:string></affiliations></json:item><json:item><name>Alberto José da Silva Duarte Associate professor</name><affiliations><json:string>From the Department of Dermatology, “Hospital das Clínicas,” University of São Paulo Medical School, São Paulo, Brazil</json:string></affiliations></json:item><json:item><name>Cyro Festa‐Neto Associate professor</name><affiliations><json:string>From the Department of Dermatology, “Hospital das Clínicas,” University of São Paulo Medical School, São Paulo, Brazil</json:string></affiliations></json:item><json:item><name>José 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type="degree">Clinical fellow</roleName></persName><affiliation>From the Department of Dermatology, “Hospital das Clínicas,” University of São Paulo Medical School, São Paulo, Brazil<address><country key="BR"></country></address></affiliation></author><author xml:id="author-0001"><persName><forename type="first">Jorge</forename><surname>Casseb</surname><roleName type="degree"> Assistant professor</roleName></persName><affiliation>From the Department of Dermatology, “Hospital das Clínicas,” University of São Paulo Medical School, São Paulo, Brazil<address><country key="BR"></country></address></affiliation></author><author xml:id="author-0002"><persName><forename type="first">Ligia Maria I.</forename><surname>Fukumori</surname><roleName type="degree">Biology technician</roleName></persName><affiliation>From the Department of Dermatology, “Hospital das Clínicas,” University of São Paulo Medical School, São Paulo, Brazil<address><country key="BR"></country></address></affiliation></author><author xml:id="author-0003"><persName><forename type="first">Mirian Nacagami</forename><surname>Sotto</surname><roleName type="degree">Associate professor</roleName></persName><affiliation>From the Department of Dermatology, “Hospital das Clínicas,” University of São Paulo Medical School, São Paulo, Brazil<address><country key="BR"></country></address></affiliation></author><author xml:id="author-0004"><persName><forename type="first">Alberto José da Silva</forename><surname>Duarte</surname><roleName type="degree">Associate professor</roleName></persName><affiliation>From the Department of Dermatology, “Hospital das Clínicas,” University of São Paulo Medical School, São Paulo, Brazil<address><country key="BR"></country></address></affiliation></author><author xml:id="author-0005"><persName><forename type="first">Cyro</forename><surname>Festa‐Neto</surname><roleName type="degree">Associate professor</roleName></persName><affiliation>From the Department of Dermatology, “Hospital das Clínicas,” University of São Paulo Medical School, São Paulo, Brazil<address><country key="BR"></country></address></affiliation></author><author xml:id="author-0006"><persName><forename type="first">José Antônio</forename><surname>Sanches</surname><roleName type="degree">Associate professor</roleName></persName><affiliation>From the Department of Dermatology, “Hospital das Clínicas,” University of São Paulo Medical School, São Paulo, Brazil<address><country key="BR"></country></address></affiliation></author><idno type="istex">73CAD3010C2FF78F0B248190024F981CE8E12D66</idno><idno type="ark">ark:/67375/WNG-1S0Z4FB7-Z</idno><idno type="DOI">10.1111/j.1365-4632.2009.04008.x</idno><idno type="unit">IJD4008</idno><idno type="toTypesetVersion">file:IJD.IJD4008.pdf</idno></analytic><monogr><title level="j" type="main">International Journal of Dermatology</title><title level="j" type="alt">INTERNATIONAL JOURNAL OF DERMATOLOGY</title><idno type="pISSN">0011-9059</idno><idno type="eISSN">1365-4632</idno><idno type="book-DOI">10.1111/(ISSN)1365-4632</idno><idno type="book-part-DOI">10.1111/ijd.2009.48.issue-7</idno><idno type="product">IJD</idno><idno type="publisherDivision">ST</idno><imprint><biblScope unit="vol">48</biblScope><biblScope unit="issue">7</biblScope><biblScope unit="page" from="723">723</biblScope><biblScope unit="page" to="730">730</biblScope><biblScope unit="page-count">8</biblScope><publisher>Blackwell Publishing Ltd</publisher><pubPlace>Oxford, UK</pubPlace><date type="published" when="2009-07"></date></imprint></monogr></biblStruct></sourceDesc></fileDesc><profileDesc><abstract xml:lang="en" style="main"><head>Abstract</head><p><hi rend="bold">Background </hi> Infective dermatitis (ID) is a rare dermatologic condition of childhood that has been linked to human T‐cell lymphotropic virus type 1 (HTLV‐1).</p><p><hi rend="bold">Objective </hi> To analyze the clinical and laboratory features associated with adult‐onset ID linked to HTLV‐1.</p><p><hi rend="bold">Methods </hi> From December 1995 to December 2007, four patients with ID were followed in the dermatology outpatient clinic of the “Hospital das Clínicas” of the University of São Paulo Medical School, São Paulo, Brazil. Epidemiologic data were collected and dermatologic examination was performed. Patients were submitted to histopathologic, hematologic, virologic, and immunologic investigations.</p><p><hi rend="bold">Results </hi> All patients had a diagnosis of ID according to previously established criteria, despite being adults. HTLV‐1 infection was demonstrated by enzyme‐linked immunosorbent assay, Western blotting assays, and polymerase chain reaction. The male to female ratio was 1 : 3 and the median age at diagnosis was 42 years. The cutaneous manifestations were erythematous, scaly, and crusted lesions in all patients, and ichthyosis in three of the four cases. Histopathologic study showed lymphocytic epidermotropism in two cases. The median proviral load was 281 copies/10,000 peripheral blood mononuclear cells. Immunodeficiency was not observed in any case. The therapies used were antimicrobials, corticosteroids, and phototherapy.</p><p><hi rend="bold">Conclusions </hi> Although many authors have considered ID to be a form of childhood dermatitis, we have described four cases that fulfilled the major criteria for ID, except for onset in adulthood.</p></abstract><textClass><keywords rend="tocHeading1"><term>Report</term></keywords></textClass><langUsage><language ident="en"></language></langUsage></profileDesc></teiHeader></istex:fulltextTEI><json:item><extension>txt</extension><original>false</original><mimetype>text/plain</mimetype><uri>https://api.istex.fr/document/73CAD3010C2FF78F0B248190024F981CE8E12D66/fulltext/txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="Wiley, elements deleted: body"><istex:xmlDeclaration>version="1.0" encoding="UTF-8" standalone="yes"</istex:xmlDeclaration><istex:document><component version="2.0" type="serialArticle" xml:lang="en"><header><publicationMeta level="product"><publisherInfo><publisherName>Blackwell Publishing Ltd</publisherName><publisherLoc>Oxford, UK</publisherLoc></publisherInfo><doi origin="wiley" registered="yes">10.1111/(ISSN)1365-4632</doi><issn type="print">0011-9059</issn><issn type="electronic">1365-4632</issn><idGroup><id type="product" value="IJD"></id><id type="publisherDivision" value="ST"></id></idGroup><titleGroup><title type="main" sort="INTERNATIONAL JOURNAL OF DERMATOLOGY">International Journal of Dermatology</title></titleGroup></publicationMeta><publicationMeta level="part" position="07007"><doi origin="wiley">10.1111/ijd.2009.48.issue-7</doi><numberingGroup><numbering type="journalVolume" number="48">48</numbering><numbering type="journalIssue" number="7">7</numbering></numberingGroup><coverDate startDate="2009-07">July 2009</coverDate></publicationMeta><publicationMeta level="unit" type="caseStudy" position="8" status="forIssue"><doi origin="wiley">10.1111/j.1365-4632.2009.04008.x</doi><idGroup><id type="unit" value="IJD4008"></id></idGroup><countGroup><count type="pageTotal" number="8"></count></countGroup><titleGroup><title type="tocHeading1">Report</title></titleGroup><copyright>© 2009 The International Society of Dermatology</copyright><eventGroup><event type="firstOnline" date="2009-06-16"></event><event type="publishedOnlineFinalForm" date="2009-06-16"></event><event type="xmlConverted" agent="Converter:BPG_TO_WML3G version:2.3.5 mode:FullText source:FullText result:FullText" date="2010-04-07"></event><event type="xmlConverted" agent="Converter:WILEY_ML3G_TO_WILEY_ML3GV2 version:4.0.1" date="2014-03-13"></event><event type="xmlConverted" agent="Converter:WML3G_To_WML3G version:4.1.7 mode:FullText,remove_FC" date="2014-10-23"></event></eventGroup><numberingGroup><numbering type="pageFirst" number="723">723</numbering><numbering type="pageLast" number="730">730</numbering></numberingGroup><correspondenceTo>
Luciana Maragno, Clinical fellow Rua José Meza Mendonça, 132 CEP. 09750 – 390 – Jardim do Mar São Bernardo do Campo – SP Brazil
E‐mail: <email>lucianamaragno@terra.com.br</email></correspondenceTo><linkGroup><link type="toTypesetVersion" href="file:IJD.IJD4008.pdf"></link></linkGroup></publicationMeta><contentMeta><countGroup><count type="figureTotal" number="10"></count><count type="tableTotal" number="4"></count><count type="formulaTotal" number="0"></count><count type="referenceTotal" number="34"></count><count type="wordTotal" number="4557"></count></countGroup><titleGroup><title type="main">Human T‐cell lymphotropic virus type 1 infective dermatitis emerging in adulthood</title><title type="shortAuthors"><i>Maragno</i> et al.</title><title type="short">HTLV‐1 infective dermatitis in adulthood</title></titleGroup><creators><creator creatorRole="author" xml:id="cr1" affiliationRef="#aff-1-1"><personName><givenNames>Luciana</givenNames><familyName>Maragno</familyName><degrees>Clinical fellow</degrees></personName></creator><creator creatorRole="author" xml:id="cr2" affiliationRef="#aff-1-1"><personName><givenNames>Jorge</givenNames><familyName>Casseb</familyName><degrees> Assistant professor</degrees></personName></creator><creator creatorRole="author" xml:id="cr3" affiliationRef="#aff-1-1"><personName><givenNames>Ligia Maria I.</givenNames><familyName>Fukumori</familyName><degrees>Biology technician</degrees></personName></creator><creator creatorRole="author" xml:id="cr4" affiliationRef="#aff-1-1"><personName><givenNames>Mirian Nacagami</givenNames><familyName>Sotto</familyName><degrees>Associate professor</degrees></personName></creator><creator creatorRole="author" xml:id="cr5" affiliationRef="#aff-1-1"><personName><givenNames>Alberto José da Silva</givenNames><familyName>Duarte</familyName><degrees>Associate professor</degrees></personName></creator><creator creatorRole="author" xml:id="cr6" affiliationRef="#aff-1-1"><personName><givenNames>Cyro</givenNames><familyName>Festa‐Neto</familyName><degrees>Associate professor</degrees></personName></creator><creator creatorRole="author" xml:id="cr7" affiliationRef="#aff-1-1"><personName><givenNames>José Antônio</givenNames><familyName>Sanches</familyName><degrees>Associate professor</degrees></personName></creator></creators><affiliationGroup><affiliation xml:id="aff-1-1" countryCode="BR"><unparsedAffiliation>From the Department of Dermatology, “Hospital das Clínicas,” University of São Paulo Medical School, São Paulo, Brazil</unparsedAffiliation></affiliation></affiliationGroup><abstractGroup><abstract type="main" xml:lang="en"><title type="main">Abstract</title><p><b>Background </b> Infective dermatitis (ID) is a rare dermatologic condition of childhood that has been linked to human T‐cell lymphotropic virus type 1 (HTLV‐1).</p><p><b>Objective </b> To analyze the clinical and laboratory features associated with adult‐onset ID linked to HTLV‐1.</p><p><b>Methods </b> From December 1995 to December 2007, four patients with ID were followed in the dermatology outpatient clinic of the “Hospital das Clínicas” of the University of São Paulo Medical School, São Paulo, Brazil. Epidemiologic data were collected and dermatologic examination was performed. Patients were submitted to histopathologic, hematologic, virologic, and immunologic investigations.</p><p><b>Results </b> All patients had a diagnosis of ID according to previously established criteria, despite being adults. HTLV‐1 infection was demonstrated by enzyme‐linked immunosorbent assay, Western blotting assays, and polymerase chain reaction. The male to female ratio was 1 : 3 and the median age at diagnosis was 42 years. The cutaneous manifestations were erythematous, scaly, and crusted lesions in all patients, and ichthyosis in three of the four cases. Histopathologic study showed lymphocytic epidermotropism in two cases. The median proviral load was 281 copies/10,000 peripheral blood mononuclear cells. Immunodeficiency was not observed in any case. The therapies used were antimicrobials, corticosteroids, and phototherapy.</p><p><b>Conclusions </b> Although many authors have considered ID to be a form of childhood dermatitis, we have described four cases that fulfilled the major criteria for ID, except for onset in adulthood.</p></abstract></abstractGroup></contentMeta></header></component></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Human T‐cell lymphotropic virus type 1 infective dermatitis emerging in adulthood</title></titleInfo><titleInfo type="abbreviated" lang="en"><title>HTLV‐1 infective dermatitis in adulthood</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>Human T‐cell lymphotropic virus type 1 infective dermatitis emerging in adulthood</title></titleInfo><name type="personal"><namePart type="given">Luciana</namePart><namePart type="family">Maragno</namePart><namePart type="termsOfAddress">Clinical fellow</namePart><affiliation>From the Department of Dermatology, “Hospital das Clínicas,” University of São Paulo Medical School, São Paulo, Brazil</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Jorge</namePart><namePart type="family">Casseb</namePart><namePart type="termsOfAddress">Assistant professor</namePart><affiliation>From the Department of Dermatology, “Hospital das Clínicas,” University of São Paulo Medical School, São Paulo, Brazil</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Ligia Maria I.</namePart><namePart type="family">Fukumori</namePart><namePart type="termsOfAddress">Biology technician</namePart><affiliation>From the Department of Dermatology, “Hospital das Clínicas,” University of São Paulo Medical School, São Paulo, Brazil</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Mirian Nacagami</namePart><namePart type="family">Sotto</namePart><namePart type="termsOfAddress">Associate professor</namePart><affiliation>From the Department of Dermatology, “Hospital das Clínicas,” University of São Paulo Medical School, São Paulo, Brazil</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Alberto José da Silva</namePart><namePart type="family">Duarte</namePart><namePart type="termsOfAddress">Associate professor</namePart><affiliation>From the Department of Dermatology, “Hospital das Clínicas,” University of São Paulo Medical School, São Paulo, Brazil</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Cyro</namePart><namePart type="family">Festa‐Neto</namePart><namePart type="termsOfAddress">Associate professor</namePart><affiliation>From the Department of Dermatology, “Hospital das Clínicas,” University of São Paulo Medical School, São Paulo, Brazil</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">José Antônio</namePart><namePart type="family">Sanches</namePart><namePart type="termsOfAddress">Associate professor</namePart><affiliation>From the Department of Dermatology, “Hospital das Clínicas,” University of São Paulo Medical School, São Paulo, Brazil</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="case-report" displayLabel="caseStudy" authority="ISTEX" authorityURI="https://content-type.data.istex.fr" valueURI="https://content-type.data.istex.fr/ark:/67375/XTP-29919SZJ-6">case-report</genre><originInfo><publisher>Blackwell Publishing Ltd</publisher><place><placeTerm type="text">Oxford, UK</placeTerm></place><dateIssued encoding="w3cdtf">2009-07</dateIssued><copyrightDate encoding="w3cdtf">2009</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><physicalDescription><extent unit="figures">10</extent><extent unit="tables">4</extent><extent unit="formulas">0</extent><extent unit="references">34</extent><extent unit="words">4557</extent></physicalDescription><abstract>Background Infective dermatitis (ID) is a rare dermatologic condition of childhood that has been linked to human T‐cell lymphotropic virus type 1 (HTLV‐1).</abstract><abstract>Objective To analyze the clinical and laboratory features associated with adult‐onset ID linked to HTLV‐1.</abstract><abstract>Methods From December 1995 to December 2007, four patients with ID were followed in the dermatology outpatient clinic of the “Hospital das Clínicas” of the University of São Paulo Medical School, São Paulo, Brazil. Epidemiologic data were collected and dermatologic examination was performed. Patients were submitted to histopathologic, hematologic, virologic, and immunologic investigations.</abstract><abstract>Results All patients had a diagnosis of ID according to previously established criteria, despite being adults. HTLV‐1 infection was demonstrated by enzyme‐linked immunosorbent assay, Western blotting assays, and polymerase chain reaction. The male to female ratio was 1 : 3 and the median age at diagnosis was 42 years. The cutaneous manifestations were erythematous, scaly, and crusted lesions in all patients, and ichthyosis in three of the four cases. Histopathologic study showed lymphocytic epidermotropism in two cases. The median proviral load was 281 copies/10,000 peripheral blood mononuclear cells. Immunodeficiency was not observed in any case. 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